Custom User Profile Photo

Who can upload and manage these images?

Currently, only a user with the upload_files capability can use this option.
Editors and Admins can upload and edit files.
Authors can only upload files.
Subscribers and Contributors cannot do either so an Admin will need to do this for them.

I installed the plugin but I want to customize the output and placement of the image. Is this possible?

Yes, you can still customize the output by using the get_cupp_meta() function. Please reference the code snippet below or on the Description tab.

<?php echo get_cupp_meta($user_ID, $size); ?>

Where the $user_ID is the users ID number and the size is a registered image size like 'thumbnail' or an array like array(50,50).